Hyperbaric Oxygen Therapy in the Management of Paroxysmal Sympathetic Hyperactivity After Severe Traumatic Brain Injury: A Report of 6 Cases

被引：36
作者：
Lv, Li-Quan [1 ]
Hou, Li-Jun [1 ]
Yu, Ming-Kun [1 ]
Ding, Xue-Hua [1 ]
Qi, Xiang-Qian [1 ]
Lu, Yi-Cheng [1 ]
机构：
[1] Second Mil Med Univ, Shanghai Inst Neurosurg, Dept Neurosurg, Shanghai Changzheng Hosp, Shanghai, Peoples R China
来源：
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2011年 / 92卷 / 09期
关键词：
Case report: Hyperbaric oxygen therapy; Paroxysmal sympathetic hyperactivity; Rehabilitation; Traumatic brain injuries; INTRACRANIAL-PRESSURE; DYSAUTONOMIA;
D O I：
10.1016/j.apmr.2011.01.014
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Lv L-Q, Hou L-J, Yu M-K, Ding X-H, Qi X-Q, Lu Y-C. Hyperbaric oxygen therapy in the management of paroxysmal sympathetic hyperactivity after severe traumatic brain injury: a report of 6 cases. Arch Phys Med Rehabil 2011;92:1515-8. Paroxysmal sympathetic hyperactivity (PSH) after severe brain injury is detrimental to the recovery of patients. Pharmacologic management of PSH is difficult and efficacy is unpredictable or incomplete. This report presents 6 cases of PSH after extremely severe traumatic brain injury in which hyperbaric oxygen therapy (HBOT) controlled paroxysmal autonomic changes and posturing in the early subacute phase after limited success with conventional medication regimens. Thus, HBOT may present an option for the management of PSH in addition to pharmacologic therapy. Potential mechanisms for these effects are discussed.
引用
收藏
页码：1515 / 1518
页数：4
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